Randomised controlled trial of clinical decision support tools to improve learning of evidence based medicine in medical students

Leung, GM

doi:10.1136/bmj.327.7423.1090

Cited by 114 publications

(118 citation statements)

References 13 publications

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“…For common problems, the EBM approach suggests each individual clinician, working independently, or at best with a small group, should set aside 1 or 2 hours per week to critically appraise all the existing primary literature and/or systematic reviews and come up with his or her own conclusions regarding its validity and relevance [23]. Orthopaedists should have at their disposal information that is synthesized from highlevel evidence that is predigested, giving an evidence-based answer to their questions for diagnosis or treatment issues infrequently encountered in practice.…”

Section: Evidence-based Medicine As An Information Framework-backgroundmentioning

confidence: 99%

Should We Be Teaching Information Management Instead of Evidence-based Medicine?

Hurwitz

Slawson

2010

Clinical Orthopaedics &Amp; Related Research

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To encourage high-quality patient care guided by the best evidence, many medical schools and residencies are teaching techniques for critically evaluating the medical literature. While a large step forward in many regards, these skills of evidence-based medicine are necessary but not sufficient for the practice of contemporary medicine and surgery. Incorporating the best evidence into the real world of busy clinical practice requires the applied science of information management. Clinicians must learn the techniques and skills to focus on finding, evaluating, and using information at the point of care. This information must be both relevant to themselves and their patients and be valid. WHERE ARE WE NOW?: Today, orthopaedic surgery is in the post-Flexner era of passive didactic learning combined with the practical experience of surgery as taught by supervising experts. The medical student and house officer fill their memory with mountains of facts and classic references 'just in case' that information is needed. With libraries and now internet repositories of orthopaedic information, all orthopaedic knowledge can be readily accessed without having to store much in one's memory. Evidence is often trumped by the opinion of a teacher or expert in the field. WHERE DO WE NEED TO GO?: To improve the quality of orthopaedic surgery there should be application of the best evidence, changing practice where needed when evidence is available. To apply evidence, the evidence has to find a way into practice without the long pipeline of change that now exists. Evidence should trump opinion and unfounded practices. HOW DO WE GET THERE?: To create a curriculum and learning space for information management requires effort on the part of medical schools, residency programs and health systems. Internet sources need to be created that have the readily available evidence-based answers to patient issues so surgeons do not need to spend all the time necessary to research the questions on their own. Information management is built on a platform created by EBM but saves the surgeon time and improves accuracy by having experts validate the evidence and make it easily available.

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Section: Evidence-based Medicine As An Information Framework-backgroundmentioning

confidence: 99%

Should We Be Teaching Information Management Instead of Evidence-based Medicine?

Hurwitz

Slawson

2010

Clinical Orthopaedics &Amp; Related Research

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“…In addition, studies by Silva et al, 2003 shows that usage of PDA by the pharmacists and doctors to deliver clinical services has resulted in cost saving of USD662,000 during six months period, indicating a significant cost saving to provide healthcare services. Another study by Leung et al (2003), found that usage of handheld communication gadget managed to improve the evidencebased medicine and enhance education services among the clinicians while other study in an aged care facility in Aus-…”

Section: Literature Reviewmentioning

confidence: 99%

Acceptance of Smartphone in Enhancing Patient-Caregivers Relationship

Ismail

Kit

Buhari³

et al. 2012

Journal of Technology Management & Innovation

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Patients may take more initiative to give more attention to their health as well as foster closer relationship with the caregivers and this has been made possible through smartphone. This paper investigates the perceived usefulness of smartphone among healthcare personnel in a private hospital setting. The study has identified elements which have had impact on individual decision to use smartphones using Technology Acceptance Model (TAM). Questionnaires were distributed to 57 respondents including medical doctors, nurses and head of department of a hospital. The analysis shows that the younger generations were more 'trendy' in owning a Smartphone. The study indicates that females reported better acceptance of smartphone use in their works. Healthcare industry will be more patient-centric instead of doctorcentric, hence, it is important for healthcare providers to provide services in line with the customers' requirement without jeopardizing patient safety and lives.

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“…This relates to a funding issue that is traditionally a worldwide problem for educational institutions and is difficult to overcome [24] but also indicates that there has to be a commitment by medical schools to ensure students have ready access to evidence-based literature that informs clinical practice. It has been reported in the literature that easy access to online resources increase the frequency of literature searches and therefore increase the reading of more evidence-based articles [25,26].…”

Section: Information Technology Accessmentioning

confidence: 99%

Survey of Evidence-Based Practice Use and Understanding Among Final (5th) Year Medical Students in South-East Asia

Martis¹

2011

TOEDUJ

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Abstract:The SEA-ORCHID project (South East Asia -Optimising Reproductive Child Health in Developing countries) initiated a survey among undergraduate medical students at five South-East Asia universities to ascertain their understanding of evidence-based practice, information seeking practices, access to Information Technology and evidencebased databases as well as their understanding of clinical practice guidelines. The survey took place during August to December 2006 and was completed by 172 fifth year undergraduate medical students. The findings from this survey indicate that fifth year undergraduate medical students from the participating five South East Asian universities need to be well equipped in knowing what databases exist, how to search these and how to critically appraise the information obtained. This need, plus a lack of exposure to clinical practice guideline appraisal and development, highlights some of the issues medical students encounter when attempting to learn and practice evidence-based practice effectively.

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Randomised controlled trial of clinical decision support tools to improve learning of evidence based medicine in medical students

Abstract: Rapid and convenient access to valid and relevant evidence on a portable computing device can improve learning in evidence based medicine, increase current and future use of evidence, and boost students' confidence in clinical decision making.

Cited by 114 publications

References 13 publications

Should We Be Teaching Information Management Instead of Evidence-based Medicine?

Should We Be Teaching Information Management Instead of Evidence-based Medicine?

Acceptance of Smartphone in Enhancing Patient-Caregivers Relationship

Survey of Evidence-Based Practice Use and Understanding Among Final (5th) Year Medical Students in South-East Asia

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